多发性硬化症共济失调患者骑自行车后步态参数的定量变化:APilot研究

Q4 Medicine
Sarvenaz Rahimibarghani, Seyedeh Zahra Emami-Razavi, A. Moghadasi, Mohaddeseh Azadvari, M. Shojaee fard, Shahram Rahimi-Dehgolan
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引用次数: 1

摘要

小脑性共济失调是多发性硬化症(MS)的常见症状,尤其是在进行性形式中,步态和平衡问题是最使人虚弱的症状。运动训练是平衡功能障碍康复治疗的重要组成部分,而固定自行车是一种安全、可行、有效的减轻症状的方法。临床步行性能测试通常用于评估这些患者的步态。然而,步态分析技术在检测细微和亚临床变化方面更加敏感和准确。本研究的目的是确定MS患者在使用固定自行车后步态失调的步态参数的变化。材料与方法:招募10例继发性进展性MS患者,步态共济失调,平均扩展残疾状态量表(EDSS)为4。参与者在固定自行车上骑自行车。在骑行12次前后进行步态分析。它包括时空和平衡参数测量。结果:步态分析显示速度(P=0.02, r=-0.51)、步幅(P=0.01, r=-0.63)等时空参数变化具有统计学意义。平衡相关指标中,干预后中外侧压力中心(ML)位移、前后侧压力中心超调、压力中心速度变化均有统计学意义。(r = -0.63) P = 0.01 (P = 0.02, r = -0.51), (P = 0.03, r = -0.49), (P = 0.01, r = -0.54)。结论:步态分析适用于ms患者康复后的运动轨迹变化。结果表明,使用固定式自行车可以改善一些时空和cop相关参数。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quantitative Changes in Gait Parameters after Cycling among Multiple Sclerosis Patients withAtaxia:APilot Study
Introduction: Cerebellar ataxia is a common symptom of multiple sclerosis (MS), particularly in progressive forms, where gait and balance problems are the most debilitating symptoms.  Exercise  training  is  a  critical  component  of  rehabilitation  in managing equilibrium dysfunction, and stationary  bicycling  is  a  safe,  feasible,  and effective method to reduce the symptom. Clinical walking performance tests are typically used to assess gait in these patients. However, gait analysis technologies are more sensitive and accurate at detecting subtle and subclinical changes. The purpose of this study was to determine the changes in gait parameters in MS patients with ataxic gait after using a stationary bicycle. Materials and Methods: Ten  secondary progressive MS patients with ataxic gait and  a mean expanded disability status scale (EDSS) of four were recruited. The participants cycled on a stationary bike. Gait analysis was performed before and after 12 sessions of cycling. It included spatiotemporal and balance parameter measurements. Results: Gait analysis showed statistically significant changes in spatiotemporal parameters, including speed (P=0.02, r=-0.51), and stride length (P=0.01, r=-0.63). Of balance-related indices, the mediolateral (ML) center of pressure (COP) displacement, anterior and posterior COP overshoot, and COP velocity changes were statistically remarkable after the intervention respectively. (P=0.01, r=-0.63), (P=0.02, r=-0.51), (P=0.03, r=-0.49), (P=0.01, r=-0.54). Conclusion: Gait analysis is applicable to track changes following rehabilitation in individuals with MS. The results indicate that using a stationary bicycle can improve some spatiotemporal and COP-related parameters.
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来源期刊
Journal of Modern Rehabilitation
Journal of Modern Rehabilitation Medicine-Rehabilitation
CiteScore
0.50
自引率
0.00%
发文量
44
审稿时长
12 weeks
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